| NPI | 1780683573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GARZA Director Of Human Resource 419-334-8943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2021-07-27 |